MEDICARE: BMZ GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1225350473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BMZ GROUP INC

Provider Business Mailing Address
First Line	:	12528 QUEENS BLVD STE 732
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-1503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 BAY AVE
Second Line	:
City	:	HICKSVILLE
State	:	NY
Zip	:	11801-1403
Country	:	US
Telephone Number	:	646-410-7906
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRUCE M ZAGELBAUM
Credential	:
Telephone Number	:	646-410-7906

Provider Enumeration Date	:	02/15/2010
Last Update Date	:	02/15/2010

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Directions to “BMZ GROUP INC ” Practice Location

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